March 2015 Activity Calendar

Philips iU22 Ultrasound System
Advanced System Training
台灣醫療事業保健部門
臨床應用專員 楊欣蓓
Agenda
•System overview
•Imaging modes
•Caliper / Calculation
•Review and
Image management
•Q & A
Confidential
Divison, MMMM dd, yyyy, Reference
2
System overview
•System
•Transducers
•Peripherals
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Power ON / OFF
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Transducer Port
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Touch screen
Green
Tabs
Touch Screen
Buttons
Green Outline
Touch Screen
Rotary Knob Display
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Keyboard / Control Panel
Left
Confidential
Center
Divison, MMMM dd, yyyy, Reference
Right
System Overview
Control Panel –Tri State Lighting
Green = Active
Amber = Available
Off = Unavailable
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Control Panel - Left
Physio
Report
Protocol
Review
Patient Data
Transducer
End Exam
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Control Panel - Center
2D
Color
PW
Zoom
CPA
M-mode
CW
Capture
(max10min)
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Control Panel - Center
Freeze
Depth
Focus
Update
Caliper
Calc
Pointer
Trackball
Click
Confidential
Divison, MMMM dd, yyyy, Reference
System overview
Control Panel - Right
Record
VCR
Volume
Annotate, Erase Text
Body Marker
TGC
iSCAN
Print
Confidential
Divison, MMMM dd, yyyy, Reference
Start Exam
- Power on
- Patient data
- Transducer / Application
Monitor Screen
Confidential
Divison, MMMM dd, yyyy, Reference
Imaging Modes
2D
- Depth
- Gain
- Compress
- TGC
- Focus / Focus range
- Compress
- 2D opt :
Pen / Gen / Res /
HPen / HGen / Hres
- SonoCT
- XRes
- DRS
- AGC
- iSCAN
Confidential
Divison, MMMM dd, yyyy, Reference
Gain
- 接受音訊的放大器
Compress
- Dynamic range (е‹•ж…‹зЇ„ењЌ)
Echo levels
0 Tissue air
{
Large
boundar
y
echoes
Tissu
e
Mapping functions
Compression
-20 Tissue bone
-40 Fat muscle
{
{
-60 Placenta
Liver
-80 Kidney Parenchyma
Dynamic
range
-100 Blood
Noise
Compression
-120
Electronic noise
0 Min Gray Shade
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15 Max Gray Shade
дєєзњјеЏЇиѕЁи­�зЃ°йљЋ
-140
Confidential
Gray scale
Monitor Display
Divison, MMMM dd, yyyy, Reference
Philips Technology
Broadband
Confidential
Divison, MMMM dd, yyyy, Reference
Philips Technology
Broadband
Pen
Confidential
Res
Divison, MMMM dd, yyyy, Reference
Philips Technology
SonoCT
Conventional image
Confidential
SonoCT image
Divison, MMMM dd, yyyy, Reference
Philips Technology
SonoCT
–連續擷取不同角度的多
張圖像,獲致更多彎曲
與不規則組織之訊號,
影像大為清晰,
–可消除斑點雜訊、多重
反射雜訊、不規則的反
е°„й›њиЁЉпјЊи‡ЁеєЉдёЉи­‰еЇ¦йќћ
еёёжњ‰ж•€
Confidential
Divison, MMMM dd, yyyy, Reference
Philips Technology
XRes
–利用影像處理技術快速
зљ„иЁ€з®—жЇЏејµењ–еѓЏдёЉзљ„ж•ё
е„„еЂ‹еЅ±еѓЏиі‡ж–™
–消除很多雜訊並增強了
組織邊際與分界
Confidential
Divison, MMMM dd, yyyy, Reference
Philips Technology
DRS (Dynamic Resolution System) Res-Spd/ Res- Pen
DRS is a macro control that provides instantaneous one button adjustment
of temporal vs. spatial resolution in 2D, 3D, color and CPA modes. The
feature is designed to give the user the best combinations of multiple
controls when they need to choose between fast frame rates or optimal
image quality.
Confidential
Divison, MMMM dd, yyyy, Reference
Philips Technology
DRS (Dynamic Resolution System) Res-Spd / Res- Pen
Dynamic Resolution System - one control that adjusts nearly 40
parameters simultaneously to optimize functions such as:
· Line density , Persistence, Number of lines of sight (SonoCT)…
R1 is optimized
for maximum
image quality
R1 is optimized for
color resolution
RS provides the
best overall choice
of system settings
P1 is optimized for
color sensitivity
S1 is optimized to
improve speed
Confidential
2D
Color
Divison, MMMM dd, yyyy, Reference
Philips Technology
AGC ( Adaptive Gain Compensation )
AGC works continuously to correct for localized attenuation
and enhancement variations not accounted for by Time Gain
Compensation (TGC). AGC does not control overall gain or
compression. AGC is hardware controlled and there is no
effect to frame rate when activated.
While AGC is activated all
other controls (TGC, gain, etc.)
will respond normally.
Confidential
Divison, MMMM dd, yyyy, Reference
Philips Technology
iSCAN
•Uses system intelligence to
automatically adjust:
–TGC based on tissue
attenuation
–Receiver gain based on
overall tissue brightness
–Re-map compression
curve based on range of
detectable tissue signals
–Doppler gain based on
Doppler signal strength
–Doppler PRF based on
maximum detectable
velocity
–Doppler Baseline based on
forward/reverse flow
components
Confidential
Divison, MMMM dd, yyyy, Reference
Philips Technology
How does AGC differ from iSCAN?
iSCAN is an automated image optimization process using
user-available controls (gain, TGC, compression). iSCAN
optimizes the image each time the Iscan button is
pressed. The purpose of iSCAN is global image
optimization.
AGC is a signal processing technique that dynamically
adjusts the gain of every sample in real time. AGC runs
continuously when activated. The purpose of AGC is
dynamic correction of localized gain artifacts.
Confidential
Divison, MMMM dd, yyyy, Reference
Imaging Modes
Color
- Color box position / size
- Gain
- Scale
- Invert
- Flow Opt:
Low / Med / High
- Color compare
* What are the
benefits?
Confidential
Divison, MMMM dd, yyyy, Reference
Imaging Modes
PW
選定好位置後, 調整SV 角度,
按 “
Update”, “
High-Q”
Confidential
Divison, MMMM dd, yyyy, Reference
Imaging Modes
CPA ( Color Power Angio )
- an amplitude mode color display showing the
intensity of Doppler shifts. CPA is useful for showing
slow or diminished flow due to the fact that it is less
angle dependent than color flow imaging.
Confidential
Divison, MMMM dd, yyyy, Reference
Imaging Modes
CPA and Doppler
Confidential
CPA compare
Divison, MMMM dd, yyyy, Reference
Imaging Modes
Directional CPA
Confidential
Divison, MMMM dd, yyyy, Reference
Caliper and Calculation
Confidential
Divison, MMMM dd, yyyy, Reference
Volume
•3 Distance Vol
•1 Distance Vol
•Dist+ Ellip Vol
•Vol Distance
•Volume Ellipse
Confidential
Divison, MMMM dd, yyyy, Reference
Volume
A. 3 Distance Volume
1) ж–ј2D жё¬й‡Џ Volume Distance 1, Volume Distance 2
2) 另取一正交90度之平面測量Volume Distance 3 , Done ,即
еЏЇеѕ—VolumeгЂ‚
*長 X 寬 X � X 0.523 = Volume
Confidential
Divison, MMMM dd, yyyy, Reference
B. I Distance Volume
1) ж–ј2D жё¬й‡Џ 1 Distance Volume ,еЌіеЏЇеѕ—
volumeгЂ‚
* 此係利用三個相等的距離算出
C. 1 Distance and 1 Ellipse Volume
1) ж–ј2D жё¬й‡Џ дёЂ Volume Distance
2) 另取一正交90度之平面測量 Volume Ellipse ,
з•«е‡є ellipse жё¬й‡Џ(еЌідёЂж©ўењ“еЅў),еЌіеЏЇеѕ—
volumeгЂ‚
Confidential
Divison, MMMM dd, yyyy, Reference
Caliper and Calculation
Press the Calc
button and select
the desired label
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image management
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image management
Review
•Press Review
•Is exam in progress?
•System enters image
review or patient
directory
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image management
Patient Directory
- Search
Search
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image management
Patient Directory –Lock Study
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image Management
Patient Directory –Exam Status
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image Management
Patient Directory –Network Status
Print
Status
Confidential
Archive
Status
Commit
Status
Divison, MMMM dd, yyyy, Reference
Export to
DVD status
Review and Image Management
Image Review
Display Exam
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image Management
Image Review Screen
Thumbnail
region
Selected
patient
exams
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image Management
Delete Image
Delete
Selected
Confidential
Divison, MMMM dd, yyyy, Reference
Review and Image Management
Export Media –JPG/AVI
To Media as
JPG/AVI
Confidential
Divison, MMMM dd, yyyy, Reference
Confidential
Divison, MMMM dd, yyyy, Reference
Thank you for your attention